Posted on 03/10/2014 6:59:25 PM PDT by neverdem
Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC 8) FREE
Hypertension is the most common condition seen in primary care and leads to myocardial infarction, stroke, renal failure, and death if not detected early and treated appropriately. Patients want to be assured that blood pressure (BP) treatment will reduce their disease burden, while clinicians want guidance on hypertension management using the best scientific evidence. This report takes a rigorous, evidence-based approach to recommend treatment thresholds, goals, and medications in the management of hypertension in adults. Evidence was drawn from randomized controlled trials, which represent the gold standard for determining efficacy and effectiveness. Evidence quality and recommendations were graded based on their effect on important outcomes.
There is strong evidence to support treating hypertensive persons aged 60 years or older to a BP goal of less than 150/90 mm Hg and hypertensive persons 30 through 59 years of age to a diastolic goal of less than 90 mm Hg; however, there is insufficient evidence in hypertensive persons younger than 60 years for a systolic goal, or in those younger than 30 years for a diastolic goal, so the panel recommends a BP of less than 140/90 mm Hg for those groups based on expert opinion. The same thresholds and goals are recommended for hypertensive adults with diabetes or nondiabetic chronic kidney disease (CKD) as for the general hypertensive population younger than 60 years. There is moderate evidence to support initiating drug treatment with an angiotensin-converting enzyme inhibitor, angiotensin receptor blocker, calcium channel blocker, or thiazide-type diuretic in the nonblack hypertensive population, including those with diabetes. In the black hypertensive population, including those with diabetes, a calcium channel blocker or thiazide-type diuretic is recommended as initial therapy. There is moderate evidence to support initial or add-on antihypertensive...
(Excerpt) Read more at jama.jamanetwork.com ...
Part of the plot against MAWGs? First they took away PSA tests to see how many they could kill with prostate cancer; now it looks like they want to limit blood pressure medication (much of which is now available in cheap generic form.
bkmk
Anybody who falls for JAMA b/s is truly foolish! NEJM is slightly more intelligent..like “dumb” to “stupid” comparison and the fact that Zero owns webmd is truly frightening.
Medicalnacht…anyone?!!!
I had a nice steady blood pressure of around 162 over 102 for a couple of years and stopped drinking. After two weeks, no change. After two months, I was right in the middle of “normal”. We thought the machine was broken so we took several readings of me and my wife.
But it was true. And all that that implies.
My BP is 95/69. In my younger days it was 90/60 or worse. I used to pass out a lot.
.
Obamacare's "experts" know exactly what they are doing.
You're OLD?
No medicine for you!
Part of the softening up of the public for accepting "less" in the way of medical care.
It's the New Normal.
Just like in Europe.
In the past 5 years, my BP went from 110-120/80 to (with the home devices) 160/115! WTF?
The cure is worse than the disease. Good health is very important but sanity more so.
I’m a little dense, but you are implying your cutting drinking caused your BP to go back to normal. Did you stop completely? What did you drink before? I guess I started drinking more in the last 5 years, but that would equal less than one Guinness / glass of red wine per day. I can’t imagine that’s what made mine jump from 120/90-160/115.
42 yo, 5’9” male. 220lbs. On BP meds amplodipine, 5mg after checkup. Was 160/110 . Doc told me to lose 20 lbs and exercise 10-20 mins three times a day.
It's crazy. I do that, and more. Who knows...Time to find a new doctor, and get on the generic crestor, or whatever they are giving out free at the supermarket with prescription...
45 yo male. 260lbs. 5’10”.
I deadlift in the 500’s, bench in the 400’s, and I workout four days a week for an hour a session.
Could stand to lose twenty pounds. But I’d look even more,like monster if I did. Doc said most people don’t bother. Has me on Lisinop/HCTZ.
Went from 165/107 to 116/85.
Dad had similar issues minus the weightlifting hobby...
The cure is worse than the disease. Good health is very important but sanity more so.
I’m a little dense, but you are implying your cutting drinking caused your BP to go back to normal. Did you stop completely?
But completely stopping alcohol consumption, with no other lifestyle change, brought my BP to rock solid normal.
they have been pushing us to lower blood pressure way down for years (120), and most of us have done some of this, but noticed our older patients got faint, so we sort of let their pressure up to 140. Now they are catching up to what we have done out of common sense.
The bad news? They are pushing cheap diuretics (water pills)... ten percent of men taking them get problems in their love life, but what they hey: they’re cheap!
Crap! (for me-I am happy for you)
Anybody who falls for JAMA b/s is truly foolish!
What does that have to do with JAMA other than JAMA made the report FReebie?
Do you have any formal training in any science or medicine besides reading assorted paranoid anecdotes from the internet?
0bama’s fault
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